Haesook S Kim MD PLLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

HAESOOK S KIM MD PLLC

Practice address

302 Kensington Ave
Flint, MI 48503-2044

Phone

(810) 762-8490

NPI assigned

Nov 15, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Haesook S Kim, MD

Title

Director

Phone

(810) 762-8490

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1124362272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 KENSINGTON AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032044",
            "telephone_number": "810-762-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 KENSINGTON AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032044",
            "telephone_number": "810-762-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAESOOK S KIM MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HAESOOK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "810-762-8490",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1410999",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lynn Hackney
• Gizelle Haddad
• Hadeel Emad Haddad
• Kathleen E Hadden
• Kristen Haering
• Kristin Lynn Hagar, MD
• Jeffry Edward Hagenstein, D.O.
• Isabella Grace Hagey
• Marissa Lynn Hagon
• Emily Sue Hahn, PHYSICIAN ASSISTANT

• Radiation Oncology Physician in Flint, MI
• Providers in Flint, MI by specialty
• Radiation Oncology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.